Doctor profile · Federal record

Dr. Jennifer Sullivan, WHNP

Women's Health Nurse Practitioner (CMS: Nurse Practitioner) · Fridley, MN

  • NPI 1053584789
  • Accepts Medicare
  • MIPS 83.5 / 100 · 2023
  • 18 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
500 Osborne RD Ne, Suite 200
Fridley, MN 554322774
(763) 786-6011
Mailing address
2925 Chicago Ave
Minneapolis, MN 554071321

Credentials & registration

NPPES · NUCC
NPI registered
April 2008 — 18 yrs on file
Profile last updated
November 10, 2020
Year of graduation
2008 — 18 yrs since
Specialty taxonomy
363LW0102X — NUCC code
State license (1)
Minnesota #R1564338

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1053584789. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
12
Distinct HCPCS
1
Medicare allowed
$1,243
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 12 11 $104

In context: peer comparison

Among 1 peers in Fridley Women's Health Nurse Practitioner, average services per provider: 12. This provider delivers 1.0× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
37
Patients
14
Total drug cost
$2,026
Drug Type Claims Patients Total cost
Estradiol Generic 21 0 $1,888
Fluconazole Generic 16 14 $138

Frequently asked questions

Auto-generated from federal data
What is Dr. Jennifer Sullivan's medical specialty?
Dr. Jennifer Sullivan practices Women's Health Nurse Practitioner in Fridley, MN.
Where does Dr. Jennifer Sullivan practice?
Dr. Jennifer Sullivan practices at 500 Osborne RD Ne, Fridley, MN 554322774. Office phone: 7637866011.
What is Dr. Jennifer Sullivan's NPI?
Dr. Jennifer Sullivan's National Provider Identifier (NPI) is 1053584789, issued by NPPES.
Does Dr. Jennifer Sullivan accept Medicare assignment?
Yes. Dr. Jennifer Sullivan accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jennifer Sullivan commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.